Spanish

Social/Role Activities Limitations

Durante la última semana, ¿cuánto ha interferido su salud en lo siguiente?

La mayor
En forma parte del Todo el
En nada Un poco moderada tiempo tiempo

1. En sus actividades normales

con sus familiares, amigos,
vecinos o grupos ................................... 0 1 2 3 4

2. En sus actividades recreativas

o pasatiempos ....................................... 0 1 2 3 4

3. En sus quehaceres
domésticos (tareas del hogar) ............... 0 1 2 3 4

4. En sus mandados/recados
y compras .............................................. 0 1 2 3 4

Scoring
The score of each item is the number circled. If two consecutive numbers are circled for a single item,
score the higher number (more limitation). If two non-consecutive numbers are circled, do not score
the item. The score of the scale is the mean of the four items. If more than one item is missing, do not
score the scale. A higher score indicates greater activities limitations.

Characteristics
Tested on 551 Spanish-speaking subjects with chronic disease.

No. of Observed Standard Internal Consistency Test-Retest

items Range Mean Deviation Reliability Reliability

4 0-4 1.08 1.10 .916 NA

Source of Psychometric Data

Stanford Spanish Chronic Disease Self-Management Study (Tomando Control de su Salud).
Psychometrics reported in: Lorig KR, Ritter PL, & González VM, Hispanic chronic disease self-
management: A randomized community-based outcome trial. Nursing Review, 2003; Nov-
Dec;52(6):361-9.

Comments
This scale is a short way of finding out how much illness interferes with role activity. This scale is
sensitive to change, and is a good one to use in educational studies. If you must have a short
questionnaire, this is a scale to use.

References
Lorig KR, Ritter PL, & González VM, Hispanic chronic disease self-management: A randomized
community-based outcome trial. Nursing Review, 2003; Nov-Dec;52(6):361-9.

This scale is free to use without permission

Self-Management Resource Center

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